Patient's question:
Why can't I get erect during sex, and why is it often very hard when I wake up?Doctor's answer:
Erectile dysfunction, also known as impotence, refers to a condition where, in a relationship between a man and a woman, the man's penis is not firm enough to insert into the vagina or cannot maintain firmness to complete the entire sexual act for at least 3 months, which is termed erectile dysfunction. The causes of erectile dysfunction can be divided into primary and secondary types. Primary erectile dysfunction is often associated with psychological factors, biological factors, etc.; secondary erectile dysfunction is commonly caused by vascular diseases, hormonal disorders, medication use, neurological conditions, etc. It is often accompanied by a history of medication use, smoking, alcohol consumption, prostatic diseases, or masturbation. The clinical manifestations are often seen in cases where the individual previously could achieve and maintain an erection but no longer has this function or finds it difficult to achieve an erection. It is recommended that you pay attention to the hygiene of the external genitalia during masturbation, sexual activity, and daily life. Masturbation or sexual activity should be regular, and it is advisable to visit a hospital for relevant examinations and active treatment as early as possible.